Regulatory briefings juxtapose U.S. predetermined change plans against EU high-risk delays and transparency go-lives. Vendors selling in both markets need dual playbooks for adaptive clinical models. It matters because clinical deployments live or die on outcomes, liability and whether clinicians keep humans in the loop. Caveat: single-system studies and early deployments do not automatically generalize across hospitals or populations. Primary reporting is available via Reg Intel, linked for readers who want the full original account.